I don't think so.
care-reform/ and comments for background.
Jake
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I think you misstate Autonomy. Autonomy comes to us from ancient Greek: αυτονόμος autonomos, from auto “self” + nomos, “law”: one who gives oneself his/her own law. In modern use in ethics and philosophy, this means self-determination in the context of moral choices. In medicine, for example, this often takes the form of “informed consent” - the autonomous individual chooses for his- or herself. So when you say, “They think so because they believe people are fundamentally autonomous—a strange fiction.” And you are correct, except that you, too, hold some strange fiction that inter-dependence somehow compromises autonomy. It doesn’t. Autonomy is about choice in the context of constraints, external or internal. A person with certain specific disabilities is less self-sufficient than a more or less normally functioning human being, but his or autonomy is not thereby lessened.
In your 91% are included several genetic malformations other than DS. Among them is Anencephaly, a truly horrific malformation where there is essentially no head above the eyes and no brain much above the stem. Babies who survive birth live for hours only. This does not obviate your point about 15% so much as provide a footnote - there may in fact be lives so short and horrific that to not terminate the pregnancy is to insure unimaginable suffering of the parents and the baby.
Science has no vision of the world at all. Some, or even most, practitioners of science do. That vision is as multifaceted as the human beings that hold it. Undoubtedly some human beings, scientists included, envision a perpetually comfortable and easy world. Others hope to reduce disease, or improve the environment, or find some measure of peace for the mentally ill. You have created a straw man, a scientist that may or may not exist for real, but one that surely does NOT hold the view of many, or even most, scientists.
Finally, you have presented no rationale for exchanging love for autonomy as a basis for bioethics. Explain to me how that would work on an informed consent form. Explain to me how an individual making a moral choice could sublet that choice to another, even if love was at the heart of the relationship. Who bears responsibility for the action that follows the moral choice?
As a sketch, this is more of a thin straw. I wouldn’t care that it so were it not that so many conservatives seek just such a straw to which they can cling in their efforts to shut their ears to ethics discussions rooted in autonomy.
There may be such a thing as a bioethics rooted in love. I encourage you to sketch out your thoughts more fully, so that discussion can continue.